Jill Friebele
Valley Children’s Hospital, USAPresentation Title:
Current Concept Review: Pediatric Ankle Syndesmosis Injuries
Abstract
Ankle syndesmosis injuries occur in 1% of pediatric ankle trauma. In the younger populations, an open physis has thought to be a protective factor against syndesmotic injury and therefore favoring more Salter-Harris type injuries. However, clinical methods used to diagnose syndesmotic injuries may not be effective in the pediatric population. Radiographic findings are mostly based on the study of adolescent and adult populations. Therefore, syndesmotic injuries may be overlooked in the younger pediatric patient with ankle trauma and open physes. Here, we present a review of the literature of ankle syndesmotic injuries and demonstrate how syndesmotic injuries can be missed in the younger pediatric patient with a variety of injuries. Further research is needed to fully characterize clinical exam and radiographic findings of syndesmotic injury in the younger pediatric patient and how these may change with time and growth. In practice, these recommendations may help diagnose syndesmotic injuries and lead to earlier and improved treatment for these pediatric patients.
Biography
Jill Friebele is a board certified pediatric orthopedic surgeon at Valley Children’s Hospital in Madera, Ca specializing in complex orthopedic care, clubfoot and congenital deformities, neuromuscular disorders, pediatric trauma, and sports-related injuries. She is also the Director of Adaptive Sports, a nonprofit organization that provides athletic opportunities for free for children with physical disabilities and mobility impairments. She has published numerous papers and presented on topics including cerebral palsy, foot deformities, pediatric fractures, infections, and skeletal dysplasia. She is the director of the orthopedic rotation for the pediatric residency program at Valley Children’s Hospital and serves as faculty at several medical schools and residency programs. She has also been awarded numerous grants to support her work with the Adaptive Sports Program. She is mother to two adorable and rambunctious boys. In her free time, she loves playing just about any sport with her family, lyra, and running and hiking with her dogs.
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